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fht Evergntn �� �O N STR U CTIO� �� �. <br />CITY OF <br />Cv��� PERMIT PERMIT NO. 15843 <br />CRV MALL 2558715 <br />EVERE7T,wnsexoi � COMBINATION � BUILDINO � MECHANICAL CY� PLUMBING <br />OWNER MA�LADUHESS CRY 2IP PHONE � <br />Hooker Realty 1321 S.E. Everett Mall Way Suite 1 �erett 99204 348-3635 <br />Ai1CHITECT OX DESIGNEfl MAIL ADDRE55 CITY 21P PHONE <br />GENERAL CONTflACTON MAIL AU�RE55 CITY ZIP PMONE LICENSE I <br />Tomjay Construction 1516 Lake Stevens Road Everett 98205 743-3848 <br />MECMANICAICONTRACTOR MAILADDFESS CITY 21P PHONE LICENSEP <br />TOMJAC*2320J <br />PLUMBING CONTRACTOR MAIL ADDPE55 CITY ZIP PMONE LICENSE � <br />�A?!EW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ DEMOLITION ❑ FENCE ❑ SIGN ❑ WOOD STOVE/FIREPLACE INSERT <br />S 77,000.00 <br />Construct Single Family Residence <br />PPOPOSED USE OF BUILOING <br />Single Family Residence <br />�or 11 <br />IOW 6ELOW OF ATfACH FOUP COPII <br />Kenilworth Hills #1 <br />G s H 3 28 9 <br />3�02 56th Street S.W. <br />PLUMBINO <br />NO. TYPE OF FIXTURE <br />BATHTUB <br />LAVATORY (VlASH BASIN) <br />SHOWER <br />KITCHEN SINK d DISP. <br />DISHWASHER <br />LAUNDAYTRAV <br />CLOTHES WASHER <br />WATER HEATEF <br />URINAL <br />DRINKING FOUNTAIN <br />FLOOR DRAIN <br />VACUUM BREAKERS <br />ROOF ORAINS — RAINLEADERS <br />SINK ISERVICE — BAR, ETC.) <br />FEE <br />SUB TOTAL S z( <br />PENMIT S <br />TOTAL FEE f 26 <br />D SET�lPCK STREETSETBACK REAR YARD SETB <br />7�i' 25' 25' <br />= LOT AREA VACANT SITE <br />R-S I 12,469 Sq. Ft. Xk�Es cNo <br />V-N R-3--M-1 1 <br />SIZ�9F BaLDG�t. p_ NO. OF S70RIES MA%. OCC. l.� <br />L.i 1 S <br />687 S. Ft. M- 2 <br />FIRE ZONE BASEMEN7 FIRE SPRINK <br />None RE�UIRFJL <br />VES "M( <br />APPROVALS BY <br />1. ENVIRONMENTAL CHECK LIST <br />2. BUILDING PLANS � <br />3.FIREHYDRANT '� <br />4. FIRE PROTECTION SVSTE� <br />5.GRADING - <br />6. ORAINAGE <br />�ICATION ACC:;BY RMNS CHECKEI <br />��-+ <br />�" �=� �% 0 7EF <br />� <br />A <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA7E <br />OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR <br />LOCAL LAW REGULATING CONSTRUCTION OR THE <br />PERFORMANGE OF CONSTRUCTION. <br />SIGNAT�q�/ OF CONTRACTOR OR AUTMO/R/IZE9 AGEh i e� DFT p/ <br />X A/�iYa��.s,G_i /"] i� ��)J � O Y <br />MECFiANICAL <br />NO. TYPE OF EOUIPMENT FEE _ <br />AIR COND. UNITS — H.P. EA. <br />REFRIGERATION UNITS — H.P. EA. <br />BOILERS — H.P. EA. <br />GAS FIRED A.C. UNITS — TONNAGE EA. <br />FORCED AIR SYSTEMS — B.T.J. M EA. <br />WALL HEATERS — 8.7.U. M <br />UNIT HEATERS — B.T.U. M <br />EVAPORATIVE COOLERS <br />CLOTHES �RVERS <br />VENTILATION FAN <br />�?ANGE HOOD <br />AIR HANDLING UNIT — C.F.M. <br />STOVE — WOOD <br />METAL FIREPLACE 8 CHIMWEY <br />FIHEPLACEINSERT <br />HEAT PUMP <br />SUB TOTAL <br />PEFMIT <br />TOTAL FEE <br />85/15843 I�EE 230.75 <br />FEES VALUATION <br />Bl11LDING <br />PLUMBING <br />MECHANICAL <br />OTHER <br />PENAL7Y <br />TOTAL <br />PERMIT ViqUP �T�I(� N(� _ <br />pV�IEN Pq�PERLx1VdLI�ATED (IN <br />.. . . . �:..i'.�!�I"� <br />iUANGE BY � �" , �; <br />� <br />- � , I <br />Jidl U 0 <br />ADDRESS FILE <br />g 77,000 <br />s 34 50 <br />S <br />s 34 50 <br />�HECK FEE <br />819ECEIPT NO. <br />545 <br />FEE <br />364 00 <br />26 00 <br />34 50 <br />424 50 <br />jE) TH181j pl�� f�F,i�.AIT � <br />1 Il Il <br />[ p �� � <br />�� I,�'�..L.�I � `—i <br />, .,. �� <br />, . ', <br />— ] J;:'a o � <br />